American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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Am J Health Syst Pharm · Nov 2010
Case ReportsRhabdomyolysis in a patient receiving ranolazine and simvastatin.
A case of rhabdomyolysis occurring shortly after the addition of ranolazine to a stable simvastatin regimen is reported. ⋯ A 63-year-old man with a history of chronic renal impairment on a stable dosage of simvastatin developed rhabdomyolysis after the addition of ranolazine to his medication regimen.
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Am J Health Syst Pharm · Oct 2010
Case ReportsHypotension and bradycardia associated with concomitant tizanidine and lisinopril therapy.
A case of severe bradycardia and hypotension associated with concomitant tizanidine and lisinopril therapy is reported. ⋯ The addition of tizanidine in a patient receiving long-term treatment with lisinopril was associated with severe hypotension and bradycardia.
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Emergency medicine pharmacy is in its relative infancy. It is unlike any other area of current clinical practice and encompasses a wide variety of diseases, age groups, and patient populations. ⋯ Therefore, the impact of an emergency medicine pharmacy specialist on patient safety could be substantial. New practitioners interested in practicing in this setting should possess an outgoing personality, embrace the speed of flow in the ED, be assertive at identifying potential areas of pharmacy involvement, have solid pharmacy practice skills and knowledge, and have the managerial and leadership qualities necessary to drive the changes needed to provide a safe and optimal level of patient care in the ED.